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Individual

DR. MICHAEL WARREN BAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3525 PIEDMONT RD NE, BLDG 6, SUITE 210, ATLANTA, GA 30305-1578
(404) 261-8291
(404) 261-5107
Mailing address
P.O. BOX 88423, ATLANTA, GA 30356
(404) 261-8291
(404) 261-5107

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
GA LIC 36680
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GA LIC 036680
GEORGIA MEDICAL LICENSE
GA
Enumeration date
07/08/2005
Last updated
01/15/2016
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